Coronial

191 results for acute kidney injury

WAhospital2026-04-01

Inquest into the Death of David John HATCHER

60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…

…h active TB and received a four-drug treatment regime. Readmitted in June 2024 with multi-organ sepsis and acute kidney injury, he required intensive care. Despite comprehensive care from multiple specialist teams (Resp…

respiratory medicineinfectious diseasesproceduralsystem
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

…c condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poor oral intake. He was admitted to Perth Children's Hospital paediat…

intensive carepaediatricsmedicationceftriaxone
VIChospital2021-06-10

Finding into death of Carlene Margaret Salveson

80y · Female·pulmonary thromboembolism in the setting of deep leg vein thrombosis; squamous c…

…ry to bilateral deep vein thrombosis. She was admitted to hospital with poor oral intake, dehydration, and acute kidney injury following chemotherapy and radiotherapy. Critical risk factors for venous thromboembolism we…

radiation oncologyoncologymedicationsystem
WAhospital

Inquest into the Death of Robert Paul RODDA

62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…

…d his AAA had ruptured. Emergency open repair was performed, during which prolonged aortic clamping caused acute renal failure requiring permanent dialysis. Post-operatively, he developed acute pulmonary oedema, atrial …

vascular surgerycardiology
QLDhospital2009-11-11

Baker, Philip

55y · Male·Haemorrhagic brain stem infarction due to hypertensive heart disease

…ear-old man with multiple comorbidities including hypertensive heart disease, atherosclerosis, and chronic kidney disease requiring dialysis, was admitted to Rockhampton Hospital with severe headache and neck pain. He ex…

emergency medicinegeneral medicinemorphine
NSWaged care2021-06-23

Inquest into the death of David Grahame Jones

88y · Male·General frailty and inanition; antecedent conditions: chronic cardiac and renal …

David Grahame Jones, aged 88, died in custody at Kevin Waller Aged Care Unit, Long Bay Correctional Centre from general frailty and inanition due to chronic cardiac and renal failure and diabetes. The coroner found he re…

geriatric medicinepalliative care
TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

…a, tachypnoea and other vital sign abnormalities. He misdiagnosed a urinary tract infection progressing to kidney infection as a chest infection and prescribed only oral antibiotics when intravenous therapy was required.…

psychiatrygeneral practicediagnosticdelaycefalexin
WAhospital2016-05-18

Inquest into the Death of Janice May SAULYS

69y · Female·multi-organ failure due to sepsis of unknown origin

A 69-year-old woman with diabetes, cardiac disease, and vulnerable kidneys died from multi-organ failure due to sepsis of unknown origin. She presented to a rural hospital on 28 Ju…

emergency medicinegeneral practicesystemdelay
QLDaged care2024-12-10

Non-inquest findings into the death of Mr O.

79y · Male·Respiratory failure due to haemothorax and hospital-acquired pneumonia due to mu…

…delayed ambulance response; and omission of bed/chair sensors. He deteriorated in hospital with pneumonia, acute kidney injury, and cardiac complications, dying from respiratory failure. Key lessons: escalate all falls …

geriatric medicineemergency medicinediagnosticmedicationaspirin
VIChospital2026-04-07

Finding into death of Ronald Nieuwenhuis

65y · Male·Metastatic disease with gastrointestinal primary (adenocarcinoma)

Ronald Nieuwenhuis, a 65-year-old man with intellectual disability residing in supported accommodation, presented to hospital in January 2025 with abdominal pain and was found to have metastatic adenocarcinoma of gastroi…

emergency medicineradiology
SAhospital2023-04-11

Coroner's Finding: Rerich, Josef

78y · Male·multi-organ failure complicating neck of femur fracture (operated) on a backgrou…

…of femur fracture from an unwitnessed fall at an aged care facility. Post-operatively he deteriorated with acute renal failure, respiratory compromise, and delirium with combative behaviour. A Level 1 Inpatient Treatmen…

orthopaedic surgerygeneral medicinehaloperidol
VICmental health2024-08-09

Finding into death of Con Kostantinou

63y · Male·Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic …

A 63-year-old man with bipolar affective disorder, obstructive sleep apnoea, prostatic hyperplasia, and emphysema was admitted involuntarily to Northern Hospital on 24 March 2024 after exhibiting delirium and mania with …

psychiatrygeneral medicinediazepam
QLDhospital2018-08-20

RD - Non-inquest findings

64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…

…sented to a private hospital emergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaemia, metabolic acidosis). The locum doctor and nurses failed t…

emergency medicineintensive carediagnosticmedicationintravenous normal saline
NSWhospital2014-11-19

Inquests into the death of Luke WOOD

35y · Male·intraperitoneal haemorrhage from an anastomotic leak from a transplanted renal a…

Luke Wood, a 35-year-old kidney transplant recipient, died 11 days post-transplant from intraperitoneal haemorrhage due to anastomotic lea…

transplant medicinenephrologycommunicationsystemlymphocyte immune globulin, anti-thymocyte globulin
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

An 84-year-old man with multiple comorbidities was prescribed rivaroxaban for deep vein thrombosis despite being a practicing Jehovah's Witness who refused blood transfusions. Rivaroxaban cannot be monitored or reversed,…

cardiologyhaematologymedicationcommunicationrivaroxaban
QLDhospital2015-01-29

Carpenter, Harold James

66y · Male·Coronary atherosclerosis with emphysema as secondary cause

…ially diagnosed as hip joint infection. Investigation revealed a rare right iliac artery aneurysm blocking kidney drainage, complicated by sepsis. Despite intervention including stent insertion and nephrostomy, he declin…

emergency medicineorthopaedic surgeryoxycodone
NSWhome2025-07-30

Inquest into the death of Hilary Gordon-Squire

65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…

A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…

forensic medicinegeneral practicesystemdelaybenzodiazepines
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged a…

orthopaedic surgerygeneral medicinesystemdelay
VIChospital2015-02-17

Finding into death of Margaret Teresa O'Donnell

69y · Female·Congestive cardiac failure

… chest pain. Her cardiac status had deteriorated significantly over six months. On 26 March, she developed acute decompensation with hypotension, hypoxia, and acute renal failure in the context of recent leg surgery and…

cardiologygeriatric medicine
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

…ironmental factors affecting patient safety—Mr Hobbs was required to walk 4 metres to an ambulance despite acute decompensation and severe exercise intolerance due to absence of a ramp. The coroner found medical care ap…

emergency medicinecardiologydiagnosticcommunicationaspirin
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